Catheter users experience leakage for a wide variety of reasons, and it’s important to consult a Healthcare Professional if you experience any of them so that they can support and guide you.
Let’s take a look at some of the most common causes of a leaking urine bag:
Fullness
It is important to empty your urine bag when necessary, aiming for when it is around ¾ full. If your bag is too full, it can put pressure on the catheter, causing it to pull, causing discomfort. As well as discomfort, this can lead to a few different types of leaks from your urine bag.
In some cases, if your urine bag is too full, this can cause urine to flow backwards, back towards your bladder. This can cause leakage, as the urine can then bypass the catheter altogether, spilling over the sides.
If your urine is bypassing your catheter and leaking over the sides, contact a Healthcare Professional immediately, as this may mean that you have a blockage in your catheter and you will need a new one urgently fitted.
An overfull urine bag can also become damaged, due to the pressure on the bag, particularly in the part of the bag where the tube connects. This can lead to urine leaking out of tears or holes in your urine bag caused by this built-up pressure.
The important thing to remember is to always empty your bag before it becomes overfull, to reduce your risks of these types of leaks.
Damage to the bag
Similarly, your urine bag can leak due to general damage sustained to the bag. You can reduce this risk by treating your urine bag with care and periodically checking the bag for signs of damage.
Disconnection
When a catheter disconnects from a urine bag, it will stop draining or it will leak. This can be caused by a few different factors. It can be caused by pulling or tugging on the tubing, there not being enough slack on the catheter tubing, or the urine bag simply not being adequately attached to the catheter in the first place.
If you’ve noticed that your catheter has detached from your urine bag, attach a new urine bag immediately.
Bladder spasms
Bladder spasms are uncontrolled and sometimes painful contractions in your bladder that cause a sudden urge to urinate. When this happens, some urine can bypass the catheter and leak.
If you experience bladder spasms, we suggest that you contact a Healthcare Professional for advice and guidance. You may find that ensuring your catheter is secured firmly to your leg can help, as it can prevent any pulling or tugging on your catheter during a bladder spasm.
Blockage
Leakage of your urine bag can also be caused by blockages in your catheter. A common complication of long-term catheter use is encrustation, leading to catheter blockage. According to NHS Scotland, around 50% of catheter users will experience a catheter blockage. If you suspect you have a blockage in your catheter, you must seek medical attention.
Blockages can cause urine bypass. Therefore, if you experience leakage, it’s important to get your catheter checked for blockages.
The most important thing to remember if you experience leakage is to get in touch with a Healthcare Professional. While these can be anxiety-inducing and inconvenient, leakage from your urine bag is a relatively common experience for catheter users, and you can and should seek support to manage this, so that you can live with comfort and feel confident in your catheter.